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Customer Questionnaire

This form can be used by first time customers and/or customers that aren't sure what to buy. Submit this form and some recommendations will be forwarded to you. This is a courtesy, Laniks Hair Boutique will not take any responsibilty if you do not like your purchase. Thanks again for choosing Laniks Hair Boutique.

Contact Information

* Required information

First Name:*Last Name:*Email:*Phone:*Cell Phone:

Please answer the following questions:

What do you want your hair to do?:*What state is your natural hair currently in?:*What styling options are you interested in?:*

Do you prefer virgin hair?:*

Have you had experience with premium hair?:*

What daily regime are you familiar with?:*What was your favorite hair style to date?:*What are your celebrity style inspirations?:*Other Remarks: